It ’s About Paramedic Intubation Skill Maintenance, Not ETI vs. SGA

In this study, for all-comers, that was an abysmal 6%. This is an important number because it tells us that overall, successful resuscitation from cardiac arrest is rare and that a number of our efforts may have some statistically significant differences but the absolute effect on the gold standard outcome is rather small. But that’s a story for another time. The focus here is on airway management in cardiac arrest, and the suggestion that the “verdict is out” on whether or not paramedics should be using an endotracheal tube or a supraglottic device.
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Airway & Respiratory Exclusive Articles Source Type: news

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Publication date: Available online 8 September 2018Source: Air Medical JournalAuthor(s): John Glasheen, Jeff Hooper, Andrew Donohue, Bronwyn Murray-Smith, Emmeline FinnAbstractObjectiveTraumatic cardiac arrest (TCA) has been associated with poor outcome, but there are survivors with good neurological outcome. Treatment of hypoxia plays a key part in resuscitation algorithms, but little evidence exists on the ideal method of airway management in TCA.MethodsLifeFlight Retrieval Medicine is an aeromedical retrieval service based in Queensland, Australia. Data regarding all intubations performed over a 28-month period were acc...
Source: Air Medical Journal - Category: Emergency Medicine Source Type: research
Engine 32 and Rescue 4 respond to a person not breathing at a youth sports complex. They arrive to see bystanders performing CPR and applying the facility’s automated external defibrillator (AED). While exiting the vehicle, paramedics hear the AED deliver a shock. Because of the large crowd gathered around the patient, paramedics and EMTs quickly load the patient into the back of the ambulance. En route, one medic starts an IV line while the other attempts intubation. The patient’s short neck and small mouth make the intubation effort very difficult. The medic attempts laryngoscopy three times, each time with a...
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Airway & Respiratory Exclusive Articles Source Type: news
Authors: Szarpak L Abstract INTRODUCTION: According to the American Society of Anesthesiologists, the incidence of difficult intubation in the operating room is 1.2-3.8%; however, in emergency conditions, this rate is higher and reaches even 5.3%. Successful emergency airway management is an essential component of the modern practice of medicine. Areas covered: The aim of the study is to review the literature regarding different devices used to perform endotracheal intubation (Macintosh, Miller, and McCoy laryngoscopes; ETView, GlideScope, TruView, Airtraq, McGrath MAC, Pentax AWS, Trachlight, Shikani, and Bullard)...
Source: Expert Review of Medical Devices - Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research
Publication date: Available online 30 June 2018 Source:Wilderness & Environmental Medicine Author(s): Alison Matthews Airway management in the wilderness runs the gamut from basic airway support to endotracheal intubation. Fortunately, direct laryngoscopy is a seldom called upon skill in expedition medicine. However, the medical skills required during a mission or expedition are never truly known in advance. Improvisation during evolving medical events is a mainstay of expedition medicine education and practice. It is unlikely, given constraints of weight and size of expedition medical kits, that a conventional laryng...
Source: Wilderness and Environmental Medicine - Category: Environmental Health Source Type: research
Tracheal intubation in emergency medicine is considered one of the most difficult procedures [1,2]. Due to the inability to obtain anesthesia anamnesis or as in the case of cardiopulmonary resuscitation, the need to protect the airway during chest compression or with a minimum pause in chest compression. However, according to studies by Ladny et al. [3,4], or Szarpak et al. [5], the effectiveness of the first intubation attempt using direct laryngoscopy is insufficient. In accordance with the European Resuscitation Council guidelines, endotracheal intubation is the gold standard in airway management [2].
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
AbstractPurpose of ReviewIntubation of patients suffering acute traumatic injuries is associated with higher airway-related morbidity and mortality than when the same procedure occurs under elective conditions. Indirect video-enabled laryngoscopes (VL) offer the potential advantage of improved glottic visualization as an integral step in the process of endotracheal intubation when compared to traditional direct laryngoscopy (DL). However, despite robust evidence that VL consistently achieves a superior view of the vocal cords in critically ill and injured adults, a consistent improvement in first-attempt intubation success...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
This third installment of the history of basic airway management discusses the transitional —“progressive”—years of anesthesia from 1904 to 1960. During these 56 yr, airway management was provided primarily by basic techniques with or without the use of a face mask. Airway maneuvers were inherited from the artisanal era: head extension and mandibular advancement. The most common ma neuver was head extension, also used in bronchoscopy and laryngoscopy. Basic airway management success was essential for traditional inhalation anesthesia (ether, chloroform) and for the use of the new anesthetic agents (...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
ConclusionsJet ventilation in obese patients can be done successfully, and complications are similar between obese patients and nonobese patients. Level of Evidence4. Laryngoscope, 00:000–000, 2017
Source: The Laryngoscope - Category: ENT & OMF Authors: Tags: Laryngology Source Type: research
Salter Labs acquired a trio of medical device companies: Innomed Technologies, Parker Medical and IntuBrite for undisclosed amounts. Coconut Grove, Fla.-based InnoMed makes non-invasive ventilation and continuous positive airway pressure masks. Parker Medical, based in Highlands Ranch, Colo., makes tips for endotracheal tubes. IntuBrite makes laryngoscopes and is based in Vista, Calif. Lake Forest, Ill.-based Salter Labs makes respiratory therapy devices for the home and healthcare provider markets. “With these acquisitions, Salter offers a wide range of innovative, clinically-preferred airway management product...
Source: Mass Device - Category: Medical Devices Authors: Tags: Hospital Care Mergers & Acquisitions Respiratory innomed intubrite parkermedical salterlabs Source Type: news
Background: We compared the effectiveness and safety of endotracheal intubation using the GlideScope (GS) video laryngoscope, CTrach laryngeal mask airway (LMA), or Shikani optical stylet rigid laryngoscope (SOS) during elective cervical surgery. Methods: Forty-five patients undergoing elective cervical surgery were randomly and equally assigned to endotracheal intubation via GS, LMA, or SOS airway management. Results: Endotracheal intubation was successfully completed in all patients. The mean intubation times of the groups differed significantly (P 
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research
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